# BLUE LOTUS FAMILY MEDICINE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538711445
- **Authorized official:** TIFFANNY PITTS BLYTHE DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (816) 656-2316

## Contact information

- **Practice address:** 4963 NE GOODVIEW CIR STE B, LEES SUMMIT, MO 64064-2491
- **Practice address phone:** (816) 656-2316
- **Practice address fax:** (816) 281-1985
- **Mailing address:** 4963 NE GOODVIEW CIR STE B, LEES SUMMIT, MO 64064-2491
- **Mailing address phone:** (816) 656-2316
- **Mailing address fax:** (816) 281-1985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2019
- **Last updated:** 07/10/2019